Provider Demographics
NPI:1083648810
Name:CITY & COUNTY OF SAN FRANCISCO
Entity Type:Organization
Organization Name:CITY & COUNTY OF SAN FRANCISCO
Other - Org Name:ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER- ACUTE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF PFS
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:ISTVAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-759-4064
Mailing Address - Street 1:1001 POTRERO AVE
Mailing Address - Street 2:BUILDING 5, WARD 1B
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94110-3518
Mailing Address - Country:US
Mailing Address - Phone:415-759-4067
Mailing Address - Fax:415-759-4649
Practice Address - Street 1:1001 POTRERO AVE
Practice Address - Street 2:BUILDING 5, WARD 1B
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94110-3518
Practice Address - Country:US
Practice Address - Phone:415-759-4067
Practice Address - Fax:415-759-4649
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-10
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171M00000X
CA220000063282N00000X, 283Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes282N00000XHospitalsGeneral Acute Care Hospital
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty
No283Q00000XHospitalsPsychiatric Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA38JVOtherCRISIS STABILIZATION
CA88122CSOtherC.S. (DEACTIVATED)
CA8812HUOtherSFGH/PSYCH/ER DEPT. CASE MGMT.
CASHORT DOYLE MEDI-CALOther88123 - PES
CAZZZJ3801ZOtherBLUE SHIELD
CA38JVOtherPSYCH EMERGENCY SERVICES (PES)
CAHSP40228WMedicaid
CA050228OtherBLUE CROSS OF CALIFORNIA